Intercultural competence in healthcare: challenges and strategies for the inclusion of immigrant population in Spain

• Pena Díaz, Carmen ^[1] ; Sánchez Ramos, María del Mar ^[1]
  1. [1] Universidad de Alcalá

     Universidad de Alcalá

     Alcalá de Henares, España

     
• Localización: Círculo de lingüística aplicada a la comunicación, ISSN-e 1576-4737, Nº. 105, 2026 (Ejemplar dedicado a: La comunicación interlingüística sanitaria / Interlingual communication in healthcare", coordinado por M.ª Carmen Pena Díaz (Universidad de Alcalá)), págs. 43-52
• Idioma: inglés
• DOI: 10.5209/clac.107868
• Enlaces
  • Texto completo
• Resumen

  • This article analyzes the growing cultural diversity in Spain as a result of immigration, with a specific focus on the impact on the healthcare system. It explores the theoretical frameworks of interculturality, cultural competence, and cultural sensitivity, and evaluates their implementation through regional healthcare protocols. Through a comparative analysis of models such as those by Campinha-Bacote, Purnell, Leininger, and Kleinman, as well as empirical research from Bas-Sarmiento et al. (2015) and Valero-Garcés (2019), this study offers a comprehensive review of challenges, strategies, and good practices in intercultural healthcare. It also proposes inclusive policies and culturally competent training to improve healthcare delivery to migrant populations in Spain.

• Referencias bibliográficas
  • Adler, Nancy & Aycan, Zeynep. (2018). Cross-Cultural Interaction: What We Know and What We Need to Know. Annual Review of Organizational...
  • Aneas, M. A., & Sandín, M. P. (2009). Interculturality and healthcare: A strategy for equity. Revista Española de Salud Pública, 83(2),...
  • Angelelli, C. V.(2016). Healthcare Interpreting Explained. Routledge.
  • Baer, H. (2003). The anthropological critique of Western medicine. Medical Anthropology Quarterly, 17(3), 257-275.
  • Bas-Sarmiento, P., Garrido-Hernansaiz, H., Fernández-Gutiérrez, M., & Poza-Méndez, M. (2015). Perceptions and experiences in access to...
  • Betancourt, J. R., Green, A. R., Carrillo, J. E., & Ananeh-Firempong, O. (2003). Defining cultural competence: A practical framework for...
  • Blasco-Palau G., Prades-Serrano J., González-Chordá V.M. (2023). Socioeconomic Inequalities as a Cause of Health Inequities in Spain: A Scoping...
  • Campinha-Bacote, J. (1998). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural...
  • Comisión Española de Ayuda al Refugiado (CEAR). (2023). Informe anual sobre asilo.
  • Crenshaw, K.(1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6),...
  • EpData.(2022). Inmigración en España.
  • Fundación FOESSA.(2022). Exclusión y desarrollo social en España. Análisis sobre población inmigrante.
  • Gómez-González, J. L.(2020). Health access disparities among immigrants in Spain. Revista Española de Salud Pública, 94, e1-e10.
  • Hankivsky, O.(2012). Women’s health, men’s health, and gender and health: Implications of intersectionality. Social Science & Medicine,...
  • Instituto Nacional de Estadística (INE). (2020). Estadísticas de población.
  • Instituto Nacional de Estadística (INE). (2024). Cifras de población a 1 de enero de 2024.
  • Junta de Andalucía. (2021). Estrategia Andaluza para la Inmigración 2021-2025.
  • Kirmayer, L. J. (2003). Cultural competence and evidence based practice in mental health: Epistemic communities and the politics of pluralism....
  • Kisa, S., Kisa, A. (2024). “No Papers, No Treatment”: a scoping review of challenges faced by undocumented immigrants in accessing emergency...
  • Kleinman, A. (1980). Patients and Healers in the Context of Culture. University of California Press.
  • Laia Raigal-Aran, Carme Ferré-Grau, Angel Belzunegui-Eraso. (2019). The Spanish version of the Cultural Competence Assessment (CCA-S): Transcultural...
  • Leininger, M. M.(2002). Transcultural Nursing: Concepts, Theories, Research and Practice (3rd ed. McGraw-Hill. Oxford Academic).
  • Marchi, M., Laquatra, G., Yaaqovy, A. D., Pingani, L., Ferrari, S., & Galeazzi, G. M. (2024). Bridging the Gap: A Systematic Review and...
  • Parella, S., Soriano, R., Tavernelli, R., & Morillas, I. (2024). Workplace Health Hazards Faced by Migrant Domestic Workers in Spain....
  • Pena Díaz, Carmen. (2023). La comunicación intercultural en el sistema público de salud mental en España. Onomázein Revista de lingüística...
  • Purnell, L. (2002). The Purnell model for cultural competence. Journal of Transcultural Nursing, 13(3), 193-196.
  • Saha, S., Beach, M. C., & Cooper, L. A. (2008). Patient centeredness, cultural competence, and healthcare quality. Journal of the National...
  • Spain 2050. Fundamentals and proposals for a Long-Term National Strategy. Gobierno de España.
  • Valero-Garcés, C. (2019). Desencuentros culturales en el ámbito de la salud: Comunicación, percepción y actuación. Revista de Traducción e...
  • World Health Organization (WHO). (2010). Equity, social determinants and public health programmes.
  • World report on the health of refugees and migrants. (2022). Geneva: World Health Organization. Licence: CC BY-NC-SA 3.0 IGO